Individual
ANNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
276 GREEN AVE EXT, LEWISTOWN, PA 17044-9707
(717) 242-5727
Mailing address
563 SUMMIT DR, LEWISTOWN, PA 17044-1253
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP1517L
PA
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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